$54 Million Settlement Reached With CareCore National to Resolve False Claims Allegations
Attorney General Pam Bondi and 20 other states joined the federal government in a settlement with CareCore National, LLC, resolving allegations that the company caused false claims to be submitted to government health care programs. CareCore provides utilization management services that determines whether services are medically necessary. CareCore allegedly instituted a scheme to auto-approve hundreds of radiology service requests on a daily basis, deeming the diagnostic services as reasonable and medically necessary, even though appropriate medical personnel did not evaluate the cases. More.
Orlando Area Man Arrested for $3.6 Million Investment Fraud
Attorney General Pam Bondi’s Office of Statewide Prosecution and the Florida Office of Financial Regulation announced that Justin Troy Spearman was arrested in North Carolina by the Burke County Sherriff’s Office and charged with grand theft, securities fraud, selling unregistered securities and acting as an unregistered issuer in the sale of securities. The arrest warrant was issued in Orange County. Attorney General Bondi’s Office of Statewide Prosecution is prosecuting the case. More.
Broward County Man Arrested for Scheme to Defraud and Grand Theft More Than $100,000
Attorney General Pam Bondi’s Office of Statewide Prosecution and the Florida Department of Law Enforcement arrested Colin L. Ansby, 25, of 225 NW 79th Terr., Margate, for one count each of scheme to defraud over $50,000, grand theft more than $100,000, and grand theft between $20,000 and $100,000. Attorney General Pam Bondi’s Office of Statewide Prosecution will prosecute this case. More.
Pinellas County Man Arrested for Exploiting Two Elderly and Disabled Victims
Attorney General Pam Bondi’s Medicaid Fraud Control Unit, the Pinellas County Sheriff’s Office and the Clearwater Police Department arrested a Pinellas County resident for exploiting two elderly and disabled individuals. In two separate occasions, Fernando Gutierrez, 58, allegedly gained access to victims’ personal papers and funds to illegally transfer money into personal accounts. More.
Two Arrested for More than $100,000 in Medicaid Fraud
Attorney General Pam Bondi’s Medicaid Fraud Control Unit and the Winter Garden Police Department arrested Anthony Handal, 59, and Sandra Mora, 46, for allegedly defrauding the Medicaid program out of more than $100,000. Handal, a licensed clinical social worker and Mora, a targeted case manager, are both contract employees of MTS Health Services. MTS provides applied behavior analysis and targeted case management services. More.
Assisted Living Facility Owner Arrested for Exploitation of a Disabled Adult
Attorney General Pam Bondi’s Medicaid Fraud Control Unit announced the arrest of a Duval County resident for exploitation of a disabled adult. Warrenrina La’Tara Henderson, 42, is the owner of Paradise Retreat Assisted Living Facility and allegedly used the victim’s Social Security funds for personal purposes. More.